{"title":"Leg Press Med — progressive lower-limb strengthening","seoTitle":"Leg Press Med — progressive lower-limb strengthening | PES Luxembourg","metaDescription":"Technogym Leg Press Med for progressive lower-limb strengthening with controlled load and range of motion in Bascharage.","content":"**The [Selection Leg Press Med](https://www.technogym.com/en-US/product/selection-leg-press-med_C99400-ANVK.html) (Technogym) rebuilds leg strength in a guided closed chain, back wedged, load dosed to the kilo, unilateral if needed. At Pôle Equilibre & Santé, in Bascharage, it takes over once the inflammatory phase has passed — often after an [isokinetic](/bascharage/equipement/isocinetisme) assessment. This is not a gym record machine.**\n\n## A guided closed chain, not a free squat\n\nAfter a prosthesis, a ligament reconstruction or when confidence in weight-bearing is lacking, a free squat too early demands balance, trunk control and a load that the knee is not ready to take. The press guides the trajectory, limits the range and makes it possible to work **one leg at a time**. Quadriceps, hamstrings, gluteals and calves work in a pattern close to walking, a chair and stairs.\n\nEscamilla et al. (*Medicine & Science in Sports & Exercise*, 2001) compared squat and press: both load the knee, but technique and inclination change the constraints. Hence an adjustable seat, an adapted footrest, and a chosen range — not a maximal load. A tool of [orthopaedic rehabilitation](/bascharage/competence/reeducation-orthopedique).\n\n## How it goes\n\nSeat, range, load set to the stage of the day. A slow push, without a brutal lock of the knee at the end of extension. A frequent order of magnitude: three sets of eight to fifteen repetitions. When strength returns, we bring the exercise closer to daily gestures and we recross with the [Excite Live Climb](/bascharage/equipement/excite-live-climb) or the treadmill.\n\nAfter surgery, the surgeon’s range and load instructions take precedence. An ACL with a meniscal suture does not have the same green light as a prosthesis at six weeks. Night pain or swelling the next day: we lower the load.\n\n## Evidence\n\nPozzi, Snyder-Mackler and Zeni (*Eur J Phys Rehabil Med*, 2013): exercise, including closed-chain strengthening, is central after TKR. Grindem et al. (*BJSM*, 2016): after ACL reconstruction, strength criteria (often a deficit below about 10 %) and function are worth more than a calendar alone. The press helps build that strength; it does not sign the return to sport.\n\nResults are seen in **weeks**, not in one session.\n\n## Preparation\n\nShorts, closed shoes, not too full a stomach. Mention calf pain (a phlebitis alert), a hot very swollen knee, fever, a scar that is still oozing.\n\n## After the session\n\nNormal muscle fatigue. Frank swelling or pain that rises in the following hours: that is not the goal. [Cryotherapy](/bascharage/equipement/cryotherapie) if planned. A heavy squat the same evening is not indicated. Return to sport is decided on tests.\n\nThe press is a step: then walking, stairs, freer exercises. Staying for months only on the machine leaves aside the balance and the decision that the street and sport demand.\n\n## Contraindications\n\nAcute inflammatory phase, forbidden weight-bearing, pain that increases at every repetition despite a minimal load, suspected phlebitis, fever, an oozing scar.\n\n## Frequently asked questions\n\n\nIs it dangerous for my knees?
\n\nThe movement is more controlled than a free squat. It should not wake sharp pain. After surgery, we respect the surgeon’s instructions on range. Working muscle discomfort is not the same thing as joint pain that increases.\n\n \n\n\nHow much load, how many sessions?
\n\nThe load is dosed to the kilo, often one leg at a time. We progress when the movement is clean and the knee does not swell the next day. The number of sessions follows the rehabilitation programme, not a press package.\n\n \n\n\nWhat should I wear, and how should I prepare?
\n\nShorts, stable shoes. Mention a weight-bearing instruction, a forbidden range, calf pain. You do not need to be fasting; avoid a very heavy meal just before.\n\n \n\n\nCan I resume sport as soon as the press is easy?
\n\nNo. The press tests neither running, nor pivoting, nor the fatigue of a match. Grindem et al. insist on strength and function criteria. We complete with tests, often isokinetic testing, before validating a return.\n\n \n\n\nWhat if I swell after the session?
\n\nLower the load the next time, elevate, apply the cold protocol if planned, tell the physiotherapist. Marked swelling, calf pain or fever justifies a medical opinion.\n\n \n\n\nIs a prescription required?
\n\nPhysiotherapy is provided on medical prescription so that it can be reimbursed by the [CNS](https://cns.public.lu/fr/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html). The practice handles the paperwork. Details: [The Consultation](/bascharage/kinesitherapie/consultation-kine).\n\n \n\n\nHow can I book an appointment?
\n\nVia [Doctena](https://fr.doctena.lu/cabinet/Pole_Equilibre_Sante-281318) or on +352 26 65 28 42. Practice at 20B Rue du Bois, 4912 Bascharage — see [Contact & access](/contact).\n\n \n\n## Find out more\n\n- [Isokinetic testing](/bascharage/equipement/isocinetisme)\n- [The Excite Live Climb](/bascharage/equipement/excite-live-climb)\n- [Orthopaedic rehabilitation](/bascharage/competence/reeducation-orthopedique)\n\n","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2023/02/Leg-Med-Press.png"}